Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Tea made an unannounced visit for the purpose of conducting an annual required visit. At 8:30 AM, LPA arrived at the facility and was greeted by Program Supervisor (PS) Ana Magdaleno and granted entry. LPA explained the nature of the visit.

Around 9:13 AM LPA accompanied by Program Supervisor began the tour of the day program. The day program consists of client workspace/ main common area, restrooms, an exercise area, kitchenette, and office space. LPA observe that the facility fire clearance is maintained in conformity with the State Fire Marshall regulatory standards. Fire Extinguishers were last serviced February 27, 2024. Smoke detectors and sprinkler systems are serviced annually. Facility conducts fire drills twice a year. Toxin substances are inaccessible to clients and stored in a locked cabinet in the kitchenette area, as well as janitor storage closet. They have janitorial services here at the facility. The day program is maintained in a clean, safe, and sanitary condition. The premises and furnishings are in good repair. There are no food preparation areas at this site. Clients provide their own lunches and are stored in facility refrigerator. Facility provides snacks, which is adequately stock. There are no sharps/knives on the premises, as the facility uses plastic knives and cutlery. Clients were in a class session at the time of visit and are adequately supervised to meet their needs. First aid supplies are adequate, and LPAs observed a first aid kit stored in the kitchenette and office space. Facility has lockers that are used by clients for storage.

During the inspection around 9:30 AM LPA reviewed six staff records and six client records. Client files and staff files contained all required documentation. LPA interviewed clients regarding their quality of care and spoke to staff present regarding care provided.

Around 9:30 AM LPA reviewed medication storage and administration. Medications are stored in a locked cabinet in the kitchenette/office space. Medications are being administered per physician order.